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American Family Physician April 15, 2002 Judy D. Bremnor	Evaluation of Dysuria in Adults Dysuria is the sensation of pain, burning, or discomfort on urination. Although many physicians equate dysuria with urinary tract infection , it is actually a symptom that has many potential causes. Empiric treatment with antibiotics may be inappropriate, except in carefully selected patients...
American Family Physician November 15, 2006 Ringdahl & Teague	Testicular Torsion Early diagnosis and definitive management are the keys to avoid testicular loss.
American Family Physician July 1, 2006 Pietrow & Karellas	Medical Management of Common Urinary Calculi Certain dietary changes can reduce risk of occurrence of kidney stones. Citrate medications will also increase levels of naturally occurring stone inhibitors.
American Family Physician April 1, 2001 Andrew J. Portis	Diagnosis and Initial Management of Kidney Stones The diagnosis and initial management of urolithiasis have undergone considerable evolution in recent years...
American Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
American Family Physician July 1, 2000 Abilio Munoz	Diagnosis and Management of Acute Pancreatitis Acute pancreatitis usually occurs as a result of alcohol abuse or bile duct obstruction. A careful review of the patient's history and appropriate laboratory studies can help the physician identify the etiology of the condition and guide management.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
American Family Physician June 1, 2003 Leung & Sigalet	Acute Abdominal Pain in Children Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain.
American Family Physician March 1, 2005 Ramakrishnan & Scheid	Diagnosis and Management of Acute Pyelonephritis in Adults There are approximately 250,000 cases of acute pyelonephritis each year, resulting in more than 100,000 hospitalizations. The most common etiologic cause is infection with Escherichia coli.
Nurse Practitioner November 2010 Ronald Lee Tyson	Diagnosis and treatment of abdominal angina Abdominal angina refers to pain or discomfort in the gut when the blood supply to the tissues and organs of digestion has been compromised in some manner
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Nursing January 2010 Brenner & Krenzer	Understanding acute pancreatitis Mr. White has classic signs and symptoms of acute pancreatitis. The onset is usually abrupt, often occurring after a large meal or excessive alcohol use.
Nursing September 2008 Susan Simmons Holcomb	Acute Abdomen: What a Pain! So many things - some life-threatening - can cause abdominal pain. Here's how to capture the clues quickly and accurately.
American Family Physician November 1, 2005 Eddie Needham	Management of Acute Renal Failure Acute renal failure is an acute loss of kidney function that occurs over days to weeks and results in an inability to appropriately excrete nitrogenous wastes and creatinine. In spite of this rapid decline in kidney function, patients with acute renal failure often have few symptoms.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
Nursing July 2008 Held-Warmkessel & Schliech	Responding to 4 Gastrointestinal Complications in Cancer Patients If your patient has cancer, be prepared to help her manage such serious GI complications as bowel obstruction, peritonitis, fistula formation, and intestinal perforation.
Nurse Practitioner Keyock & Newman	Understanding stress urinary incontinence Underreported and undertreated, stress urinary incontinence leads to decreased quality of life in sufferers and financial burdens for both the patient and the healthcare industry. Nurse practitioners should understand their role in identifying, diagnosing, and treating the condition.
Nurse Practitioner May 2012 Diana L. Wadlund	Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology.
American Journal of Nursing June 2007 Baugh et al.	Wounds in Surgical Patients Who Are Obese Surgery, whether bariatric or not, puts this population at risk. Review the basics of prevention and care.
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
Nurse Practitioner December 2010 Susanne Quallich	Male infertility: A primer for NPs Practitioners should feel comfortable addressing basic reproductive health questions, and referring men to a male infertility specialist or an andrologist for additional evaluation if the male has additional concerns.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
Nursing May 2010 Debra Castner	Understanding the stages of chronic kidney disease This article will help you to recognize CKD and understand its stages so you can help your patient to modify risk factors, prevent further kidney damage, and manage complications. First, consider the scope of the problem.
Nurse Practitioner May 2012 Hammersla & Kapustin	Peripheral Neuropathy: Evidence-based treatment of a complex disorder Peripheral neuropathy is a common and often progressive condition frequently seen in primary care. The chronic pain associated with PN, or neuropathic pain, can significantly diminish patients' quality of life and be challenging to treat.
American Family Physician July 1, 2002 Pamela Dull	Managing Benign Prostatic Hyperplasia Medical and surgical options for the treatment of benign prostatic hyperplasia have expanded in recent years.
American Family Physician July 1, 2003 Siva et al.	Diagnosing Acute Monoarthritis in Adults: A Practical Approach Acute monoarthritis can be the initial manifestation of many joint disorders. Because patients with acute monoarthritis often present to their family physician, a proper diagnostic approach is important.
Nursing January 2010 Susan Simmons	Guillain-Barre syndrome: A nursing nightmare that usually ends well GBS is the leading cause of acute flaccid paralysis; its most common presentation is characterized by ascending, symmetric paralysis that usually affects the cranial nerves and the autonomic nervous system.
American Family Physician December 1, 2000 Patrick J. Culligan & Michael Heit	Urinary Incontinence in Women: Evalution and Management Because the prevalence of urinary incontinence increases with age, a working knowledge of the diagnosis and treatment of the various types of urinary incontinence is fundamental to the care of women...
Nursing February 2010 Daniel A. Hussar	New Drugs 2010, PART 1 In this article, you'll learn about 16 new drugs.
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
American Family Physician July 1, 2006 Junnila & Cartwright	Chronic Musculoskeletal Pain in Children: Part I. Initial Evaluation Musculoskeletal pain can be difficult for children to characterize. A logical and consistent approach to diagnosis is recommended, with judicious use of laboratory and radiologic testing.
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
American Family Physician May 15, 2006 McDonald, Swagerty & Wetzel	Assessment of Microscopic Hematuria in Adults Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible.
Nurse Practitioner February 2011 Jennifer M. Belavic	Annual Drug Update: 2010 in Review In 2010, the FDA approved several new drugs and new indications for use in primary care. From new therapies for adults with rheumatoid arthritis to a combination drug for benign prostatic hyperplasia, NPs need to be aware of the latest medications now available.
Nursing February 2010 Jeanne Held-Warmkessel	How to prevent and manage Tumor lysis syndrome Potentially fatal, tumor lysis syndrome is a metabolic disturbance caused by the death of cancer cells during cancer treatment and the release of their intracellular components into the bloodstream.
American Family Physician March 15, 2001 Gary D. Grossfeld	Asymptomatic Microscopic Hematuria in Adults: Summary of the AUA Best Practice Policy Recommendations Blood in the urine (hematuria) can originate from any site along the urinary tract and, whether gross or microscopic, may be a sign of serious underlying disease...
Nursing June 2011 Daniel A. Hussar	New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis.
American Family Physician November 1, 2000 Steven G. Docimo, Richard I. Silver & William Cromie	The Undescended Testicle: Diagnosis and Management Early diagnosis and management of the undescended testicle are needed to preserve fertility and improve early detection of testicular malignancy...
American Family Physician June 15, 2003 Kodner & Kudrimoti	Diagnosis and Management of Acute Interstitial Nephritis Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes.
Nurse Practitioner May 2009 Yvonne D'Arcy	Is Low Back Pain Getting on Your Nerves? The pain and disability of low back pain are the most common reasons patients seek healthcare. Here are tools for diagnosis and treatment options.
Nurse Practitioner December 2011	Managing pain in obese patients Obesity-related pain conditions can limit the patient's efforts at increasing activity and limit quality of life. This article will offer information on these conditions and treatment options.
Nursing June 2010 Daniel A. Hussar	New drugs 2010, part 2 In this article, you'll learn about 14 recently marketed new drugs.
American Family Physician March 15, 2005 Simerville, Maxted & Pahira	Urinalysis: A Comprehensive Review Although urinalysis is not recommended as a routine screening tool, physicians should know how to interpret urinalysis results correctly. This article reviews the correct method for performing urinalysis and the differential diagnosis for several abnormal results.
American Family Physician August 2001 Saud Suleiman & David E. Johnston	The Abdominal Wall: An Overlooked Source of Pain When abdominal pain is chronic and unremitting, with minimal or no relationship to eating or bowel function but often a relationship to posture (i.e., lying, sitting, standing), the abdominal wall should be suspected as the source of pain...
American Journal of Nursing April 2009	Understanding and Managing Burn Pain: Part 1 Despite advances in topical wound care and pharmacology, and a growing emphasis on palliative care, wound care is the main source of the pain associated with burn injury.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
Nursing December 2010 Dumont & Wakeman	Preventing catheter-associated UTIs: Survey report This article reviews the results of the survey, discusses best practices, and provides evidence-based rationales.
Nursing Management March 2012 Yvonne D'Arcy	Pain and obesity It can be a challenge to provide effective pain management for obese patients; however, a multimodal pain management regimen that combines medications and complementary techniques can help increase pain relief.
American Journal of Nursing December 2008	Securing the Indwelling Catheter This article explores one aspect of catheter management, the use of securement devices, and analyzes the standard practices, expert opinion, and clinical evidence concerning this intervention.
American Family Physician November 15, 2005 William E. Cayley	Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination.